{%extends "_base_loggedin.html"%}

{% load mercyDMS_extras %}

{%block content%}
<ol class="forms">
<form name="formProfile" method="post">
<li><label for="title">Title:</label>
  <div class="fieldWrapper"> {{ form.title.errors }} {{ form.title|cssclass:"FormFields" }}</div></li>
<li><label for="fname">First:</label>
  <div class="fieldWrapper"> {{ form.fname.errors }} {{ form.fname|cssclass:"FormFields" }}</div></li>
<li><label for="mname">M:</label>
  <div class="fieldWrapper"> {{ form.mname.errors }} {{ form.mname|cssclass:"FormFields" }}</div></li>
<li><label for="lname">Last:</label>
  <div class="fieldWrapper"> {{ form.lname.errors }} {{ form.lname|cssclass:"FormFields" }}</div></li>
<li><label for="address">Address:</label>
  <div class="fieldWrapper"> {{ form.address.errors }} {{ form.address|cssclass:"FormFields" }}</div></li>
<li><label for="city">City:</label>
  <div class="fieldWrapper"> {{ form.city.errors }} {{ form.city|cssclass:"FormFields" }}</div></li>
<li><label for="state">State:</label>
  <div class="fieldWrapper"> {{ form.state.errors }} {{ form.state|cssclass:"FormFields" }}</div></li>
<li><label for="zipcode">Zip:</label>
  <div class="fieldWrapper"> {{ form.zipcode.errors }} {{ form.zipcode|cssclass:"FormFields" }}</div></li>
<li><label for="hphone">Home:</label>
  <div class="fieldWrapper"> {{ form.hphone.errors }} {{ form.hphone|cssclass:"FormFields" }}</div></li>
<li><label for="whone">Work:</label>
  <div class="fieldWrapper"> {{ form.wphone.errors }} {{ form.wphone|cssclass:"FormFields" }}</div></li>
<li><label for="cphone">Mobile:</label>
  <div class="fieldWrapper"> {{ form.cphone.errors }} {{ form.cphone|cssclass:"FormFields" }}</div></li>
<li><label for="aphone">Alternative:</label>
  <div class="fieldWrapper"> {{ form.aphone.errors }} {{ form.aphone|cssclass:"FormFields" }}</div></li>
<li><label for="email">Email:</label>
  <div class="fieldWrapper"> {{ form.email.errors }} {{ form.email|cssclass:"FormFields" }}</div></li>
<li><label for="email2">Email 2:</label>
  <div class="fieldWrapper"> {{ form.email2.errors }} {{ form.email2|cssclass:"FormFields" }}</div></li>
<li><label for="gender">Gender:</label>
  <div class="fieldWrapper"> {{ form.gender.errors }} {{ form.gender|cssclass:"FormFields" }}</div></li>
<li><label for="dob">Date of Birth:</label>
  <div class="fieldWrapper"> {{ form.dob.errors }} {{ form.dob|cssclass:"FormFields" }}</div></li>
<li><label>Yes, I am currently available to respond to an emergency with CRI.</label><div class="fieldWrapper"> {{ form.active.errors }} {{ form.active|cssclass:"FormFields" }}</div></li>

<li><label for="employment">Current Employer:</label>
  <div class="fieldWrapper"> {{ form.employment.errors }} {{ form.employment|cssclass:"FormFields" }}</div></li>
<li><label for="occupation">Occupation:</label>
  <div class="fieldWrapper"> {{ form.occupation.errors }} {{ form.occupation|cssclass:"FormFields" }}</div></li>
<li><label for="notification">Notification required prior to reporting for assignment:</label>
  <div class="fieldWrapper"> {{ form.notification.errors }} {{ form.notification|cssclass:"FormFields" }}</div></li>
<li><label for="current_vol_act">Current CRI Volunteer Activity:</label>
  <div class="fieldWrapper"> {{ form.current_vol_act.errors }} {{ form.current_vol_act|cssclass:"FormFields" }}</div></li>
<li class="grouping"><label>Preferred Deployment Activity</label>
  <ul>
    <li>{{ prefForm.pref_administration.errors }} {{ prefForm.pref_administration|cssclass:"FormFields" }}<label for="pref_administration">Administration/Personnel Support</label></li>
    <li>{{ prefForm.pref_crihop.errors }} {{ prefForm.pref_crihop|cssclass:"FormFields" }}<label for="pref_crihop">Mobile House of Prayer (CRIHOP)</label></li>
    <li>{{ prefFrm.pref_medical.errors }} {{ prefForm.pref_medical|cssclass:"FormFields" }}<label for="pref_medical">Medical/Nursing Services</label></li>
    <li>{{ prefForm.pref_rescue.errors }} {{ prefForm.pref_rescue|cssclass:"FormFields" }}<label for="pref_rescue">Search and Rescue</label></li>
    <li>{{ prefForm.pref_cleanup.errors }} {{ prefForm.pref_cleanup|cssclass:"FormFields" }}<label for="pref_cleanup">Clean-up/Reconstruction</label></li>
    <li>{{ prefFrm.pref_logistics.errors }} {{ prefForm.pref_logistics|cssclass:"FormFields" }}<label for="pref_logistics">Logistics (supplies, tents, transport)</label></li>
    <li>{{ prefForm.pref_radio.errors }} {{ prefForm.pref_radio|cssclass:"FormFields" }}<label for="pref_radio">Communications/Amateur Radio</label></li>
    <li>{{ prefForm.pref_chaplaincy.errors }} {{ prefForm.pref_chaplaincy|cssclass:"FormFields" }}<label for="pref_chaplaincy">Chaplaincy</label></li>
    <li>{{ prefForm.pref_foodservice.errors }} {{ prefForm.pref_foodservice|cssclass:"FormFields" }}<label for="pref_foodservice">Food Services</label></li>
  </ul>
<li class="grouping"><label>Driver License Information</label>
  <ul>
    <li>{{form.driver_state.errors}} {{form.driver_state|cssclass:"FormFields"}} <label for="driver_state">Driver License State</label></li>
    <li>{{form.driver_class.errors}} {{form.driver_class|cssclass:"FormFields"}} <label for"driver_class">Class</label></li>
  </ul>
</li>
<li><input type="submit" class="FormButton" value="Update My Profile"></li>
</form>
</ol>
{%endblock content%}
